What makes pediatric billing different from other specialties?

Pediatric billing is unique due to factors like complex vaccine coding (CPT 90460, 90461), 'well-child' visits, newborn care, and varying state Medicaid rules. It requires specialized knowledge of VFC (Vaccines for Children) programs and age-specific modifiers that are not common in other specialties.

Can you handle Medicaid billing for children?

Yes, we are experts in pediatric Medicaid billing. Our team understands the specific requirements, fee schedules, and timely filing limits for various state Medicaid programs, ensuring maximum and timely reimbursement for children's services.

Do you support EHR or EMR systems for pediatric clinics?

Absolutely. Our services seamlessly integrate with most major pediatric-specific and general Electronic Health Record (EHR) and Electronic Medical Record (EMR) systems. This ensures a smooth workflow from patient check-in to final payment.

Why should I outsource pediatric billing?

Outsourcing pediatric billing to specialists like Billing MedTech reduces administrative burdens, minimizes costly coding errors, speeds up reimbursements, and ensures compliance with changing regulations. This allows your practice to focus more on patient care and less on paperwork.

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(202) 935-1720

Pediatric Billing Services for Growing Practices

We manage your billing process with accuracy and consistency, so your team can focus on patient care without distractions from claim issues.

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About Us

Reliable Pediatric Medical Billing That
Keeps You Paid on Time

Pediatric care involves unique billing situations like age-specific codes, immunization schedules, and government program documentation, all while managing a high daily patient load. Billing MedTech offers pediatric medical billing services built around how pediatric practices actually work.

We manage the entire process, from coding and claim submission to denial handling and EHR coordination. Our team keeps your revenue consistent, your claims clean, and your focus where it belongs: on your patients.

CPT coding for vaccines, screenings, and wellness exams

Adjustments when a patient turns 18 and billing rules change

Insurance eligibility verification and authorization assistance

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How it Works

Start a Demo Session

Discover the difference of working with a team that handles the details so you can focus on patients.

Get a Personal Quote

Tell us your workflow and claim challenges, and we’ll provide a plan that fits your practice perfectly.

Talk to Experts

Connect directly with our billing team for personalized advice, support, and insights on optimizing your revenue.

Why Choose Us?

Specialized Billing Support for Pediatric Practices

Pediatric clinics operate under unique pressures like managing families, age-based treatments and quick visits. Small billing errors can cause delays and impact care. Our pediatric billing services are designed to match your workflow, keeping things organized, compliant, and on track so your practice runs smoothly and gets paid accurately.

Adapted to Pediatric Workflow

We understand the fast pace of pediatric care and structured billing support to keep up without disrupting your day.

Age-Specific Coding and Vaccine Tracking

As patients grow, so do the coding rules; that’s why it’s important to stay aligned with age-specific billing guidelines and vaccination requirements.

Accurate Program and Payer Documentation

From Medicaid plans to special programs, we manage documentation with precision to ensure proper reimbursements.

Our services

What Our Pediatric Billing Services Include

We take care of every step in the pediatric revenue cycle so you don’t have to.

Pediatric Coding Accuracy

We ensure coding is applied correctly for age-based exams, screenings, and procedures, including proper use of CPT modifiers.

Timely Claim Submission

Claims are reviewed and submitted promptly, helping you maintain a steady revenue stream and faster reimbursements.

Authorization and Insurance Checks

We confirm insurance eligibility and obtain necessary authorizations so there are no payment surprises.

EHR Integration

We work within your existing EHR or EMR system to manage billing without changing your clinic’s workflow.

Schedule a free walkthrough of our pediatric billing

See how we help practices like yours simplify operations, reduce errors, and improve collections.

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Client Success and Testimonials

Our Approach

Why Outsourcing Pediatric
Billing Makes Sense

Most pediatric practices don’t have time to keep up with frequent code updates, changing insurance rules, or state program documentation. Trying to do it all in-house often results in missed revenue and unnecessary stress. By outsourcing pediatric billing services to Billing MedTech, you place your revenue cycle in the hands of experienced specialists who work exclusively in billing.

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Features

What Sets Our Pediatric Billing
Services Apart

We combine experience, process, and precision to deliver billing services pediatric practices can count on.

Medicaid and State Programs

We help navigate requirements for programs like CHIP, ensuring compliance and full payment for eligible patients.

Age-Based Code Adjustments

Our system recognizes age-related billing rule changes so your coding remains compliant as patients grow.

Pre-Submission Claim Review

Claims are checked before submission to reduce denials and ensure clean documentation.

Family-Centered Billing

We keep family account structures organized, including handling claims for multiple children under one policy.

Frequently Asked Questions (FAQ's)

Pediatric billing involves frequent age-related code changes, vaccine schedules, family insurance plans, and unique rules for government-funded programs.

Yes. We manage pediatric billing for Medicaid and state programs, ensuring compliance with each payer’s requirements.

Yes. Our team integrates seamlessly with your system, eliminating any need for software changes.

Outsourcing frees your team from coding, follow-ups, and compliance issues. It improves collections and gives your staff more time to care for patients.

In today’s fast-paced digital era, where technology continuously reshapes the future of businesses, organizations need a trusted partner who can deliver innovation with reliability. That’s where Billing MedTech comes in.

Get In Touch

(202) 935-1720

info@billingmedtech.com

www.billingmedtech.com

7922, Open Point Dr, Cypress, TX, 77433

(202) 935-1720